The symptoms of suppurating fibroids are not dis¬ tinctive, except that the pain is likely to change from the usual dull, dragging pain to that of a sticking char¬ acter. The process is evidently not sudden, as is indi¬ cated by the time elapsing between the first signs of fibroid and the development of the infection. Diagno¬ sis, therefore, is not always possible. In some instances there may be a rapid increase in the size of the tumor accompanied by local tenderness, fever, night sweats and

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... ssibly a discharge of pus from the vagina, together with emaciation and signs of general septice¬ mia. A high leukocyte count in connection with these symptoms in the presence of what appears to be a fibroid should suggest a suppurating tumor, since it is well known that leukocytosis is not a feature of the ordinary myoma uteri.